<?php
require '../../execute/auth.php';
include '../../inc/config.inc';

$link = mysql_connect ( DB_HOST, DB_USER, DB_PASSWORD );
if (! $link) {
	die ( 'Failed to connect to server: ' . mysql_error () );
}

// Select database
$db = mysql_select_db ( DB_DATABASE );
if (! $db) {
	die ( "Unable to select database" );
}

?>
<!DOCTYPE html>
<html lang="en">
<head>

<!-- start: Meta -->
<meta charset="utf-8">
<title>Dashboard | TechDeira</title>
<!-- end: Meta -->

<!-- start: Mobile Specific -->
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- end: Mobile Specific -->

<!-- start: CSS -->

<!-- Latest compiled and minified CSS -->
<link rel="stylesheet"
	href="//cdnjs.cloudflare.com/ajax/libs/jasny-bootstrap/3.0.1-p7/css/bootstrap.min.css">

<link href="../assets/css/bootstrap.min.css" rel="stylesheet">
<link href="../assets/css/style.min.css" rel="stylesheet">
<link href="../assets/css/jquery.timepicker.css" rel="stylesheet">
<link href="../assets/css/retina.min.css" rel="stylesheet">
<link
	href="//netdna.bootstrapcdn.com/font-awesome/4.0.3/css/font-awesome.css"
	rel="stylesheet">
<!-- end: CSS -->


<!-- The HTML5 shim, for IE6-8 support of HTML5 elements -->
<!--[if lt IE 9]>
	
	  	<script src="http://html5shim.googlecode.com/svn/trunk/html5.js"></script>
		<script src="../assets/js/respond.min.js"></script>
		<script src="../assets/css/ie6-8.css"></script>
		
	<![endif]-->

<!-- start: Favicon and Touch Icons -->
<link rel="apple-touch-icon-precomposed" sizes="144x144"
	href="../assets/ico/apple-touch-icon-144-precomposed.png">
<link rel="apple-touch-icon-precomposed" sizes="114x114"
	href="../assets/ico/apple-touch-icon-114-precomposed.png">
<link rel="apple-touch-icon-precomposed" sizes="72x72"
	href="../assets/ico/apple-touch-icon-72-precomposed.png">
<link rel="apple-touch-icon-precomposed" sizes="57x57"
	href="../assets/ico/apple-touch-icon-57-precomposed.png">
<link rel="shortcut icon" href="../assets/ico/favicon.png">
<!-- end: Favicon and Touch Icons -->


<link rel="stylesheet"
	href="http://code.jquery.com/ui/1.10.3/themes/smoothness/jquery-ui.css">
<link rel="stylesheet" type="text/css"
	href="../assets/css/jquery.timepicker.css">


</head>

<body>
	<!-- start: Header -->
	<header class="navbar">
		<div class="container">
			<button class="navbar-toggle" type="button" data-toggle="collapse"
				data-target=".sidebar-nav.nav-collapse">
				<span class="icon-bar"></span> <span class="icon-bar"></span> <span
					class="icon-bar"></span>
			</button>
			<a id="main-menu-toggle" class="hidden-xs open"><i class="fa fa-bars"></i>
			</a> <a href="#" class="col-lg-2 col-sm-1 col-xs-12 logo_image"
				id="gopage-top"><span style="color: #0088CC;">TECH</span><span
				style="color: #E86537">DEIRA</span> </a>
			<!-- start: Header Menu -->
			<div class="nav-no-collapse header-nav">
				<ul class="nav navbar-nav pull-right">
					</a>
					</li>
					<?php
					$userselect = mysql_query ( "SELECT * FROM users WHERE id = '" . $_SESSION ['USER_ID'] . "'" );
					$userrow = mysql_fetch_array ( $userselect );

					?>
					<!-- start: User Dropdown -->
					<li class="dropdown"><a class="btn account dropdown-toggle"
						data-toggle="dropdown" href="index.html#">
							<div class="avatar">
								<img src="../assets/img/avatar.jpg" alt="Avatar">
							</div>
							<div class="user">
								<span class="hello">Welcome!</span> <span class="name"><?php echo $userrow['firstname'] . " " . $userrow['lastname']; ?>
								</span>
							</div> </a>
						<ul class="dropdown-menu">
							<li class="dropdown-menu-title"></li>
							<li><a href="profile.php"><i class="fa fa-user"></i> Profile</a>
							</li>
							<li><a href="../../execute/logout.php"><i class="fa fa-sign-out"></i>
									Logout</a></li>
						</ul></li>
					<!-- end: User Dropdown -->
				</ul>
			</div>
			<!-- end: Header Menu -->

		</div>
	</header>
	<!-- end: Header -->

	<div class="container">
		<div class="row">

			<!-- start: Main Menu -->
			<div id="sidebar-left" class="col-lg-2 col-sm-1">
				<div
					class="nav-collapse sidebar-nav collapse navbar-collapse bs-navbar-collapse">
					<ul class="nav nav-tabs nav-stacked main-menu">
						<li><a href="index.php"><i class="fa fa-bar-chart-o"></i><span
								class="hidden-sm"> Dashboard</span> </a></li>
						<li><a href="courses.php"><i class="fa fa-laptop"></i><span
								class="hidden-sm"> Courses</span> </a></li>
						<li><a href="profile.php"><i class=" fa fa-user fa-lg"></i><span
								class="hidden-sm"> Profile</span> </a></li>
						<li>
					
					</ul>
				</div>
			</div>
			<div id="content" class="col-lg-10 col-sm-11">
				<h1>Edit Profile</h1>
				<hr>
				<div class="row" style="margin-left: 0;">
					<div class="col-md-3 well">
						<ul class="nav nav-pills nav-stacked">
							<li class="active"><a href="#">Personal Info<span
									class='pull-right fa fa-chevron-right' style="margin-top: 4px;"></span>
							</a></li>
							<li><a href="#">Educational Info<span
									class='pull-right fa fa-chevron-right' style="margin-top: 4px;"></span>
							</a></li>
							<li><a href="#">Messages<span
									class='pull-right fa fa-chevron-right' style="margin-top: 4px;"></span>
							</a></li>
						</ul>

					</div>
					<div class="col-md-9 well" style="margin-left: 10px; width: 73%;">
						<div class="step-pane" id="step3">
							<form class="form-horizontal">

								<div class="form-group has-success">
									<strong><p>Personal Information</p> </strong>
									<div>
										<span class="col-md-6"> Mr: <input type="checkbox"
											class="checkbox" /> Ms:<input type="checkbox"
											class="checkbox" checked="checked" />Mrs: <input
											type="checkbox" class="checkbox" checked="checked" /> </span>
										<span class="col-md-6"> Single: <input type="checkbox"
											class="checkbox" /> Married:<input type="checkbox"
											class="checkbox" checked="checked" /> Married:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
									</div>
									<br>
									<div>
										<label class="control-label" for="inputSuccess">First Name</label>
										<div class="controls row">
											<div class="col-sm-4">
												<input type="text" class="form-control" id="inputSuccess">
											</div>
											<span class="help-block col-sm-8">
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"
															class="fa pull-right"></i> Edit</a>
													</li>
												</ul> </span>
										</div>
									</div>
								</div>

								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Last Name</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
								</div>

								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Surname</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">

													<span><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
														</li> </span>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Email</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">

													<span><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
														</li> </span>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Phone Number</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">

													<span><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
														</li> </span>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Country</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">

													<span><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
														</li> </span>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">City</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">

													<span><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
														</li> </span>
												</ul> </span> </span>
									</div>
								</div>
								<hr>
								<div class="form-group has-success">
									<strong><p>Social Networking</p> </strong> <label
										class="control-label" for="inputSuccess">Facebook</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Twitter</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Linkedin</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Blog</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Skype</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
								</div>
								<div class="form-group has-success">
									<label class="control-label" for="inputSuccess">Other</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
								</div>

								<div class="form-group has-success">
									<strong><p>Organizational Affiliation</p> </strong>
									<div>
										<h5>Professional Membership(s):</h5>
										<span class="col-md-6"> ACSA- ICT Professionals Association: <input
											type="checkbox" class="checkbox" /> Open Source Afghanistan:<input
											type="checkbox" class="checkbox" checked="checked" />Other: <input
											type="checkbox" class="checkbox" checked="checked" /> </span>
										<span class="col-md-6"> Single: <input type="checkbox"
											class="checkbox" /> Married:<input type="checkbox"
											class="checkbox" checked="checked" /> Married:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
									</div>
									<h5>Supervisor Information</h5>
									<label class="control-label" for="inputSuccess">Name</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
									<label class="control-label" for="inputSuccess">Phone Number</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
									<label class="control-label" for="inputSuccess">Email Adress</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
									<h5>Official Address:</h5>
									<label class="control-label" for="inputSuccess">Country</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
									<label class="control-label" for="inputSuccess">City</label>
									<div class="controls row">
										<div class="col-sm-4">
											<input type="text" class="form-control" id="inputSuccess">
										</div>
										<span class="help-block col-sm-8"><span>
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
													</li>
												</ul> </span> </span>
									</div>
									<div>
										<h5>Nature of the organization:</h5>
										<span class="col-md-6"> Government: <input type="checkbox"
											class="checkbox" /> Private Sector:<input type="checkbox"
											class="checkbox" checked="checked" />Civil Society: <input
											type="checkbox" class="checkbox" checked="checked" /> </span>
										<span class="col-md-6"> Academia: <input type="checkbox"
											class="checkbox" />Inter governmental:<input type="checkbox"
											class="checkbox" checked="checked" /> Other:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
									</div>

								</div>
								<hr>

								<div class="form-group has-success">
									<strong><p>Educational Information</p> </strong>


									<div>
										<label class="control-label" for="inputSuccess">College/
											university, country:</label>
										<div class="controls row">
											<div class="col-sm-4">
												<input type="text" class="form-control" id="inputSuccess">
											</div>
											<span class="help-block col-sm-8">
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"
															class="fa pull-right"></i> Edit</a>
													</li>
												</ul> </span>
										</div>
										<label class="control-label" for="inputSuccess">Faculty
											/Concentration:</label>
										<div class="controls row">
											<div class="col-sm-4">
												<input type="text" class="form-control" id="inputSuccess">
											</div>
											<span class="help-block col-sm-8">
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"
															class="fa pull-right"></i> Edit</a>
													</li>
												</ul> </span>
										</div>
										<label class="control-label" for="inputSuccess">Degree
											awarded/ working toward:</label>
										<div class="controls row">
											<div class="col-sm-4">
												<input type="text" class="form-control" id="inputSuccess">
											</div>
											<span class="help-block col-sm-8">
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"
															class="fa pull-right"></i> Edit</a>
													</li>
												</ul> </span>
										</div>
										<label class="control-label" for="inputSuccess"> Number of
											semesters completed:</label>
										<div class="controls row">
											<div class="col-sm-4">
												<input type="text" class="form-control" id="inputSuccess">
											</div>
											<span class="help-block col-sm-8">
												<ul class="nav nav-pills nav-stacked">
													<li><a href="#"><i class="fa fa-pencil fa-fw"
															class="fa pull-right"></i> Edit</a>
													</li>
												</ul> </span>
										</div>
										<div class="form-group has-success">
											<label class="control-label" for="inputSuccess">Graduation
												date/ anticipated date</label>
											<div class="controls row">
												<div class="col-sm-4">
													<input type="text" class="form-control" id="inputSuccess">
												</div>
												<span class="help-block col-sm-8"><span>
														<ul class="nav nav-pills nav-stacked">
															<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
															</li>
														</ul> </span> </span>
											</div>
										</div>
										<div class="form-group has-success">
											<label class="control-label" for="inputSuccess"> Number of
												credit hours completed</label>
											<div class="controls row">
												<div class="col-sm-4">
													<input type="text" class="form-control" id="inputSuccess">
												</div>
												<span class="help-block col-sm-8"><span>
														<ul class="nav nav-pills nav-stacked">
															<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
															</li>
														</ul> </span> </span>
											</div>
										</div>
										<div class="form-group has-success">
											<label class="control-label" for="inputSuccess">Grade Point
												Average</label>
											<div class="controls row">
												<div class="col-sm-4">
													<input type="text" class="form-control" id="inputSuccess">
												</div>
												<span class="help-block col-sm-8"><span>
														<ul class="nav nav-pills nav-stacked">
															<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
															</li>
														</ul> </span> </span>
											</div>
										</div>
										<div class="form-group has-success">
											<label class="control-label" for="inputSuccess">List your
												achievements in academic area</label>
											<div class="controls row">
												<div class="col-sm-4">
													<input type="text" class="form-control" id="inputSuccess">
												</div>
												<span class="help-block col-sm-8"><span>
														<ul class="nav nav-pills nav-stacked">
															<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
															</li>
														</ul> </span> </span>
											</div>
										</div>
										<div class="form-group has-success">
											<label class="control-label" for="inputSuccess">Certification</label>
											<div class="controls row">
												<div class="col-sm-4">
													<input type="text" class="form-control" id="inputSuccess">
												</div>
												<span class="help-block col-sm-8"><span>
														<ul class="nav nav-pills nav-stacked">
															<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
															</li>
														</ul> </span> </span>
											</div>
										</div>
										<hr>

										<strong><p>Work Experience</p> </strong>


										<div class="form-group has-success">
											<label class="control-label" for="inputSuccess">Work
												experience with national, regional or international
												organizations:</label>
											<div class="controls row">
												<div class="col-sm-4">
													<input type="text" class="form-control" id="inputSuccess">
												</div>
												<span class="help-block col-sm-8"><span>
														<ul class="nav nav-pills nav-stacked">
															<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
															</li>
														</ul> </span> </span>
											</div>
										</div>
										<hr>
										<strong><p>Skills</p> </strong>
										<div class="form-group has-success">
											<label class="control-label" for="inputSuccess">IT/ICT
												Skills:</label>
											<div class="controls row">
												<div class="col-sm-4">
													<input type="text" class="form-control" id="inputSuccess">
												</div>
												<span class="help-block col-sm-8"><span>
														<ul class="nav nav-pills nav-stacked">
															<li><a href="#"><i class="fa fa-pencil fa-fw"></i> Edit</a>
															</li>
														</ul> </span> </span>
											</div>
											<h5>
												<strong>Language Skills:</strong>
											</h5>
											<div>

												<span class="col-md-6">
													<h4><strong>English:</strong></h4> Read: <input type="checkbox"
													class="checkbox" /> Write:<input type="checkbox"
													class="checkbox" checked="checked" />Speak: <input
													type="checkbox" class="checkbox" checked="checked" /> </span>

												<span class="col-md-6">
													<h4><strong>Pashto:</strong></h4> Read: <input type="checkbox"
													class="checkbox" /> Write:<input type="checkbox"
													class="checkbox" checked="checked" /> Speak:<input
													type="checkbox" class="checkbox" checked="checked" /> </span>
												<span class="col-md-6">
													<h4><strong>Dari:</strong></h4> Read: <input type="checkbox"
													class="checkbox" /> Write:<input type="checkbox"
													class="checkbox" checked="checked" />Speak: <input
													type="checkbox" class="checkbox" checked="checked" /> </span>

												<span class="col-md-6">
													<h4><strong>Uzbeki:</strong></h4> Read: <input type="checkbox"
													class="checkbox" /> Write:<input type="checkbox"
													class="checkbox" checked="checked" /> Speak:<input
													type="checkbox" class="checkbox" checked="checked" /> </span><span
													class="col-md-6">
													<h4><strong>Balochi:</strong></h4> Read: <input type="checkbox"
													class="checkbox" /> Write:<input type="checkbox"
													class="checkbox" checked="checked" /> Speak:<input
													type="checkbox" class="checkbox" checked="checked" /> </span>
													
													<span class="col-md-6"> <h4><strong>Nooristani:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>Arabic:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>Turkmeni:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>Russia:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>Chines:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>French:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>Spanish:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>German:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>Hindi:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>Urdu:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											
											<span class="col-md-6"> <h4><strong>Other:</strong></h4> Read: <input type="checkbox"
											class="checkbox" /> Write:<input type="checkbox"
											class="checkbox" checked="checked" /> Speak:<input
											type="checkbox" class="checkbox" checked="checked" /> </span>
											</div>
										</div>
									</div>
								</div>
						
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